chapter 10 Flashcards

1
Q

complex whole which includes knowledge, beliefs, art, morals, laws, and other capabilities and habits by people in society

A

culture

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2
Q

those with characteristics found in over 50% of a population

A

majority

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3
Q

morbidity and mortality of those less than 50% of a population

A

minority

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4
Q

morbidity and mortality of those less than 50% of the population

A

minority health

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5
Q

The incorporation of the ethnic and cultural characteristics, experiences, norms, values, behaviorial patterns, and beliefs of a population
The acknowledgement of the relevant historical, environmental and social forces in the design, delivery and evaluation of targeted health promotion materials and programs

A

cultural sensitivity

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6
Q

the capacity of an individual to exercise interpersonal cultural sensitivity
The ability to serve multicultural populations using best practices in public health and medicine

A

cultural competence

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7
Q

A practitioner may exibit _________, whereas health education programs, materials, and messages may exhibit _________

A

cultural competence

cultural sensitivity

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8
Q

how many racial categories in 1978

A

4

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9
Q

how many ethnic categories?

A

`2

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10
Q

revised standards issued in 1997 and expanded race from 4 to ____

A

5

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11
Q

the concept of race/ethnicity is a _____ category and construct
our focus is on the ________ of health disparities

A

social

social determinants

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12
Q

process where attitudes, beliefs or behaviors of people from one culture are modified as a result of contact with a different culture

A

acculturation

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13
Q

o Hispanics tend to return to their birth country after they retire or become seriously ill
o Not counted in US vital statistics and thus become “statistically immortal”

A

salmon bias hypothesis

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14
Q

healthiest persons self select for migration

A

healthy migrant hypothesis

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15
Q
Behavior-oriented
Whole-specific
Imbalance
Visionary diagnosis
Wellness-oriented
A

indian medicine

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16
Q
Complaint-oriented
Organ-specific
Causes
Technical diagnosis
Illness-oriented
A

western medicine

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17
Q

people who flee their own home country seeking shelter or protection

A

refugees

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18
Q

people who migrate from other countries to set up permanent residence

A

immigrants

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19
Q

people who were born in and owe allegience to a country other than where they live

A

aliens

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20
Q

people who entered a country without any permission whatsoever

A

illegal aliens

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21
Q

state of successful performance of mental function resulting is productive activities fulfilling relationships with other people and the ability to adapt to cope with adversity

A

mental health

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22
Q
characteristics of mental health
function under \_\_\_\_\_\_\_\_
accept \_\_\_\_\_
maintain control over \_\_\_\_\_\_\_
find more \_\_\_\_\_\_\_\_
A

adversity
change
tension
satisfaction

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23
Q

term that refers collectively to diagnosable mental disorders

A

mental illness

24
Q

health conditions characterized by alternation in thinking mood or behavior associated with distress or impaired functioning

A

mental disorders

25
Scientist estimate that ____people are directly affected by mental illness....many more are affected indirectly.
1/4
26
four of the 10 leading causes of disability are:
depression bipolar disorder schizophrenia OCD
27
first two causes of mental illness disability are:
alcohol and drug abuse
28
Approximately ______ children under the of 18 have some mental disorder.
12 million
29
Mental health problems affect ______young people at any given time less than ___ recieve health services as many as 1 in every ___ children may be depressed
1 in every 5 1/3 1 in every 33
30
Diagnostic and statically manual of mental disorders 5th edition released in 2013
DSM 5 classification system
31
``` today 188 major digenetic classes are based on: ____ at onset _______ ____ is ______ and does not assess _____ ```
``` age severity symptoms descriptive assess causation ```
32
requirements for measurements: _________: are criteria easy to understand and use? _____: do criteria describe problems and help with treatments _______: are same conclusions consistenly reached when criteria are applied across providers ________: how accurately do criteria reflect the mental disorders they are designed to describe
feasibility clinical utility reliability validity
33
most easily understood mental disorder
anxiety
34
3 types of intense fear response to threat
phobias panic attacks generalized anxiety
35
disturbances of perception and thought process examples: schizophrenia, hallucinations delusions
psychosis
36
Tropically sustained sadness or elevated mood | major depression, mania, or bipolar disorder
mood disturbances1
37
Persistent sadness or despair - Insomnia and decreased appetite - Anhedonia and irritability - Apathy, poor motivation, social withdrawal - Feelings of helplessness and suicidal ideation
depression
38
ersistently elevated mood - Grandiosity and decreased sleep - Racing thoughts and distractibility - Poor judgment and impaired impulse control - Rapid or pressured speech
mania
39
viewed the psyche as a charioteer trying to drive two horses one noble and the other driven by animalistic desires the charioteer has to balance these impulses.
plato | ancient greece and rome
40
Contemplated the role of genetic inheritance | - Viewed actions, feelings, and thoughts as a single unit.
aristotle
41
Beginnings of the age o faith - Christ healed by faith therefore people believed only the grace of God would provide a cure for physical or mental illness - Cause of emntal illness was demonic possession treatment involved exorcism
middle ages 500-1500
42
emphasis on family responsibility v. animal treatment
colonial america
43
institutions were built for the insane conditions were harsh treatments were almost non existent mental illness was a moral weakness
18th century
44
haracterized by more humane treatment - Moral in this case means ‘’return to reason’’ - Environmental and the comforts o home paly a role I the treatment of persons with mental illness. _______ advocated for those with mental illness; felt state was responsible for their treatment and care - Number of state hospital grew rapidly during last 25 years of 19th century
19th century | dorthea dix
45
had bipolar mood disorder was repeatedly hospitable and | founded what I now called the National Mental Health Association
clifford beers
46
felt acute care should be provide in new psychopathic | hospitals
dr adolf meyer
47
15 million men rejected for service because of mental retardation and mental illness - Virtually all psychiatrist were drafted into service - new treatment were introduced: ____ - Walter freemen and lobotomy - Antipsychotic and anti-depressive drugs
world war II era | ECT
48
Discharging of patients from sate owned mental hospitals to less restrictive community settings propelled by 4 forces: economics ,idealism ,legal considerations, Antipsychotic drugs.
deinstitutionilzation
49
lobbied for the passage of the Mental Retardation Facilities and Community Mental Health Centers (CMHC) act 1963 more than 750 community mental health centers created and deemed eligible of Medicare dollars if core services provided 1966 – 1989
president kennedy
50
to promote recovery in persons with serious and persistent mental disorders. recognize chronic mental illness problems as social welfare problems focus on service not facilities
community support programs
51
mental health challenges in america today america has no national ________ serious mental illness are in people who are ________ more than ______ are homeless eac year ____ of all people with serious mental illness have been homeless at one time or another
mental health programs homeless 2 million adults 2/3
52
more than ____ of all inmates have mental health problems
more than 1/2
53
``` acculturation worsens hispanic health -___mortality rates - ____ birthweight babies - ____ blood pressure - _______ pregnancy weights overall _____ weights ```
``` increased low high adolescent cancer ```
54
``` acculturation changes behaviors ______ fiber consumption _______ breast feeding _______ use of cigarfettes ______ alcohol consumption _______ use of illicit drugs ______ under influence of alcohol ```
``` decreased decreased increased increased driving ```
55
lowest income
black ppl
56
lowest education levels
hispanics